Pulat Pulatov

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

281960 Issued in NY

Practice address

6835 Myrtle Ave
Glendale, NY 11385-7234

Phone

(516) 354-1600

NPI assigned

Apr 21, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Olaf Butchma DO PCGroup PAC ID 5597183244, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NYU Langone Hospitals Hospital, New York, NY, CCN 330214
• Berkshire Nursing & Rehabilitation Center Nursing home, West Babylon, NY, CCN 335083
• The Pavilion at Queens for Rehabilitation & Nursin Nursing home, Flushing, NY, CCN 335804

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

91.79

Promoting interoperability

100

Improvement activities

40

Cost

75.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles (7 of 11)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: ppulatov330805@nyumc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olaf Butchma DO PC

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1164054524

  NY

  Medicare reassignment Care Compare group NPD
• Excel Urgent Care of Astoria PLLC

  • Urgent Care Clinic/Center
  • Howard Beach, NY
  • NPI 1235434036

  NY

  Medicare reassignment NPD
• Mid Island Medical Associates, PLLC

  • Internal Medicine Physician
  • Center Moriches, NY
  • NPI 1023905247

  Family Medicine, NY

  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• Throgs Neck Urgent Medical Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1154684207
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Berkshire Nursing Home, LLC

  • Skilled Nursing Facility
  • West Babylon, NY
  • NPI 1194714345
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennedy Pavilion RH, LLC

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1871948299

  Nursing home

  Care Compare affiliation
• NYU Langone Hospitals

  • Rehabilitation Hospital Unit
  • New York, NY
  • NPI 1275632895

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • Ambulance
  • Brooklyn, NY
  • NPI 1346614443

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • Mineola, NY
  • NPI 1427616002

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • Oncology Clinic/Center
  • New York, NY
  • NPI 1437230034

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1619341716

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • New York, NY
  • NPI 1669578324

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • New York, NY
  • NPI 1801992631

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1437579166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "516-354-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6260 108th St Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751301",
            "country_code": "US",
            "telephone_number": "646-932-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULATOV",
        "first_name": "PULAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppulatov330805@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "6835 Myrtle Ave",
            "city": "Glendale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113857234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy, PC
• Proffesional Anesthesia Physician, P.C.
• Promet Physical Therapy PC
• Prominis Care Ipa, LLC
• Milagros de Jesus Puelles Adriazola
• Queens Medical & Diagnostic Services, PC
• Queens Medical Pain MGMT PC
• Queens Neurorehabilitation, PC
• Caitlin Elizabeth Quinn, LMSW
• Lisangelie Ramos

• All providers in Glendale, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.